1358 lines
52 KiB
Vue
1358 lines
52 KiB
Vue
<template>
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<div class="edit-drawer">
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<el-drawer
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v-model="visible"
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:title="drawerTitle"
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size="60%"
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:before-close="handleClose"
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:z-index="1500"
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:modal="true"
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class="diagnosis-drawer"
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>
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<el-tabs v-model="activeTab" class="diagnosis-tabs">
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<!-- 基本信息标签页 -->
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<el-tab-pane label="病历" name="basic">
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<el-form
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ref="formRef"
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:model="formData"
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:rules="formRules"
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label-width="160px"
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>
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<!-- 基本信息 -->
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<el-divider content-position="left">基本信息</el-divider>
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<el-form-item label="诊单ID">
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<el-input v-model="formData.patient_id" disabled placeholder="系统自动生成" />
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</el-form-item>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="姓名" prop="patient_name">
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<el-input
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v-model="formData.patient_name"
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placeholder="请输入姓名"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="身份证号" prop="id_card">
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<el-input
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v-model="formData.id_card"
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placeholder="请输入身份证号"
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maxlength="18"
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@focus="handleIdCardFocus"
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@blur="handleIdCardBlur"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="手机号" prop="phone">
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<el-input
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v-model="formData.phone"
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placeholder="请输入手机号"
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maxlength="11"
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@focus="handlePhoneFocus"
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@blur="handlePhoneBlur"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="性别" prop="gender">
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<el-radio-group v-model="formData.gender">
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<el-radio :label="1">男</el-radio>
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<el-radio :label="0">女</el-radio>
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</el-radio-group>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="年龄" prop="age">
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<el-input-number
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v-model="formData.age"
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:min="0"
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:max="150"
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placeholder="请输入年龄"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<!-- 生命体征 -->
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<el-divider content-position="left">生命体征</el-divider>
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<el-row :gutter="20">
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<el-col :span="8">
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<el-form-item label="婚姻状态" prop="marital_status">
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<el-select
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v-model="formData.marital_status"
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placeholder="请选择婚姻状态"
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class="w-full"
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:popper-options="{ strategy: 'fixed' }"
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popper-class="high-z-index"
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>
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<el-option label="未婚" :value="0" />
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<el-option label="已婚" :value="1" />
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<el-option label="离异" :value="2" />
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</el-select>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="就诊人身高(cm)" prop="height">
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<el-input-number
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v-model="formData.height"
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:min="0"
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:max="300"
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placeholder="请输入身高"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="体重(kg)" prop="weight">
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<el-input-number
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v-model="formData.weight"
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:min="0"
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:max="500"
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:step="0.1"
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placeholder="请输入体重"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="8">
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<el-form-item label="地区" prop="region">
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<el-input
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v-model="formData.region"
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placeholder="请输入地区"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="就诊人血压(高压mmHg)" prop="systolic_pressure">
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<el-input-number
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v-model="formData.systolic_pressure"
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:min="0"
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:max="250"
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placeholder="请输入高压"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="8">
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<el-form-item label="就诊人血压(低压mmHg)" prop="diastolic_pressure">
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<el-input-number
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v-model="formData.diastolic_pressure"
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:min="0"
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:max="150"
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placeholder="请输入低压"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="8">
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<el-form-item label="空腹血糖(mmol/L)" prop="fasting_blood_sugar">
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<el-input
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v-model="formData.fasting_blood_sugar"
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placeholder="请输入空腹血糖，如：8.5 或 8-9"
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maxlength="20"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="诊断类型" prop="diagnosis_type">
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<el-select
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v-model="formData.diagnosis_type"
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placeholder="请选择诊断类型"
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class="w-full"
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:popper-options="{ strategy: 'fixed' }"
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popper-class="high-z-index"
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>
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<el-option
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v-for="item in diagnosisTypeOptions"
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:key="item.value"
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:label="item.name"
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:value="item.value"
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/>
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</el-select>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="状态" prop="status">
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<el-radio-group v-model="formData.status">
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<el-radio :label="1">启用</el-radio>
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<el-radio :label="0">禁用</el-radio>
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</el-radio-group>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="在用药物" prop="current_medications">
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<el-input
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v-model="formData.current_medications"
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type="textarea"
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:rows="3"
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placeholder="请填写患者当前正在使用的药物（如降压药、降糖药等），多种请换行或顿号分隔"
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maxlength="2000"
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show-word-limit
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-divider content-position="left">主诉</el-divider>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="当地医院诊断日期" prop="diagnosis_date">
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<el-date-picker
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v-model="formData.diagnosis_date"
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type="date"
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placeholder="请选择诊断日期"
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value-format="YYYY-MM-DD"
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class="w-full"
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:popper-options="{ strategy: 'fixed' }"
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popper-class="high-z-index"
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/>
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</el-form-item>
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</el-col>
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<el-col :span="12">
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<el-form-item label="发现糖尿病患病史" prop="diabetes_discovery_year">
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<el-input
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v-model="formData.diabetes_discovery_year"
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clearable
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maxlength="50"
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show-word-limit
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placeholder="可填数字或文字，如：5、1年、半年"
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class="w-full"
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/>
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</el-form-item>
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</el-col>
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</el-row>
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<el-form-item label="当地医院诊断结果" prop="local_hospital_diagnosis" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.local_hospital_diagnosis">
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<el-checkbox-button label="糖尿病">糖尿病</el-checkbox-button>
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<el-checkbox-button label="消渴病">消渴病</el-checkbox-button>
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<el-checkbox-button label="糖尿病前期">糖尿病前期</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="当地就诊医院名称" prop="local_hospital_name">
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<el-input
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v-model="formData.local_hospital_name"
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placeholder="请输入当地就诊医院名称（不能填写当地、本地、互联网等关键词）"
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/>
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</el-form-item>
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<el-divider content-position="left">现病史</el-divider>
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<el-row :gutter="20">
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<el-form-item label="口腔感觉" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.appetite">
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<el-checkbox-button v-for="item in appetiteOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="20">
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<el-form-item label="每日饮水量" class="compact-form-item">
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<el-radio-group v-model="formData.water_intake">
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<el-radio-button v-for="item in waterIntakeOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-radio-button>
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</el-radio-group>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="近一个月体重变化" class="compact-form-item">
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<el-radio-group v-model="formData.weight_change">
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<el-radio-button v-for="item in weightChangeOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-radio-button>
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</el-radio-group>
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</el-form-item>
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</el-col>
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</el-row>
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<el-row :gutter="20">
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<el-col :span="12">
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<el-form-item label="脂肪肝程度" class="compact-form-item">
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<el-radio-group v-model="formData.fatty_liver_degree">
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<el-radio-button v-for="item in fattyLiverDegreeOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-radio-button>
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</el-radio-group>
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</el-form-item>
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</el-col>
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</el-row>
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<el-form-item label="饮食情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.diet_condition">
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<el-checkbox-button v-for="item in dietConditionOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="肢体感觉" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.body_feeling">
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<el-checkbox-button v-for="item in bodyFeelingOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="睡眠情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.sleep_condition">
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<el-checkbox-button v-for="item in sleepConditionOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="眼睛情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.eye_condition">
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<el-checkbox-button v-for="item in eyeConditionOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="头部感觉" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.head_feeling">
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<el-checkbox-button v-for="item in headFeelingOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="出汗情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.sweat_condition">
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<el-checkbox-button v-for="item in sweatConditionOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="皮肤情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.skin_condition">
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<el-checkbox-button v-for="item in skinConditionOptions" :key="item.value" :label="item.value">
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="小便情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.urine_condition">
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<el-checkbox-button v-for="item in urineConditionOptions" :key="item.value" :label="item.value">
|
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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<el-form-item label="大便情况" class="checkbox-form-item">
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<el-checkbox-group v-model="formData.stool_condition">
|
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<el-checkbox-button v-for="item in stoolConditionOptions" :key="item.value" :label="item.value">
|
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
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</el-form-item>
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|
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<el-form-item label="腰肾情况" class="checkbox-form-item">
|
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<el-checkbox-group v-model="formData.kidney_condition">
|
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<el-checkbox-button v-for="item in kidneyConditionOptions" :key="item.value" :label="item.value">
|
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{{ item.name }}
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</el-checkbox-button>
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</el-checkbox-group>
|
||
</el-form-item>
|
||
<el-form-item label="其他补充" prop="symptoms">
|
||
<el-input
|
||
v-model="formData.symptoms"
|
||
type="textarea"
|
||
:rows="3"
|
||
placeholder="请输入症状"
|
||
/>
|
||
</el-form-item>
|
||
|
||
<!-- 既往史 -->
|
||
<el-divider content-position="left">既往史</el-divider>
|
||
|
||
<el-form-item label="" prop="past_history" class="checkbox-form-item">
|
||
<el-checkbox-group v-model="formData.past_history">
|
||
<el-checkbox-button
|
||
v-for="item in pastHistoryOptions"
|
||
:key="item.value"
|
||
:label="item.value"
|
||
>
|
||
{{ item.name }}
|
||
</el-checkbox-button>
|
||
</el-checkbox-group>
|
||
</el-form-item>
|
||
|
||
<!-- 其他病史 -->
|
||
<el-divider content-position="left">其他病史</el-divider>
|
||
|
||
<el-row :gutter="20">
|
||
<el-col :span="8">
|
||
<el-form-item label="外伤史">
|
||
<el-radio-group v-model="formData.trauma_history">
|
||
<el-radio-button :label="1">有</el-radio-button>
|
||
<el-radio-button :label="0">无</el-radio-button>
|
||
</el-radio-group>
|
||
</el-form-item>
|
||
</el-col>
|
||
<el-col :span="8">
|
||
<el-form-item label="手术史">
|
||
<el-radio-group v-model="formData.surgery_history">
|
||
<el-radio-button :label="1">有</el-radio-button>
|
||
<el-radio-button :label="0">无</el-radio-button>
|
||
</el-radio-group>
|
||
</el-form-item>
|
||
</el-col>
|
||
<el-col :span="8">
|
||
<el-form-item label="过敏史">
|
||
<el-radio-group v-model="formData.allergy_history">
|
||
<el-radio-button :label="1">有</el-radio-button>
|
||
<el-radio-button :label="0">无</el-radio-button>
|
||
</el-radio-group>
|
||
</el-form-item>
|
||
</el-col>
|
||
</el-row>
|
||
|
||
<el-row :gutter="20">
|
||
<el-col :span="12">
|
||
<el-form-item label="家族病史">
|
||
<el-radio-group v-model="formData.family_history">
|
||
<el-radio-button :label="1">有</el-radio-button>
|
||
<el-radio-button :label="0">无</el-radio-button>
|
||
</el-radio-group>
|
||
</el-form-item>
|
||
</el-col>
|
||
<el-col :span="12">
|
||
<el-form-item label="妊娠哺乳史">
|
||
<el-radio-group v-model="formData.pregnancy_history">
|
||
<el-radio-button :label="1">有</el-radio-button>
|
||
<el-radio-button :label="0">无</el-radio-button>
|
||
</el-radio-group>
|
||
</el-form-item>
|
||
</el-col>
|
||
</el-row>
|
||
|
||
<!-- 诊断信息 -->
|
||
<el-divider content-position="left">诊断信息</el-divider>
|
||
|
||
<el-form-item label="舌苔照片">
|
||
<material-picker
|
||
v-model="formData.tongue_images"
|
||
:limit="9"
|
||
type="image"
|
||
:exclude-domain="true"
|
||
/>
|
||
<div class="form-tips">支持上传多张舌苔照片，最多9张</div>
|
||
</el-form-item>
|
||
|
||
<el-form-item label="检查报告">
|
||
<material-picker
|
||
v-model="formData.report_files"
|
||
:limit="10"
|
||
type="image"
|
||
:exclude-domain="true"
|
||
/>
|
||
<div class="form-tips">支持上传检查报告、病历、彩超等影像科检查图片，最多10个文件</div>
|
||
</el-form-item>
|
||
|
||
|
||
|
||
|
||
<el-form-item label="病史补充" prop="remark">
|
||
<el-input
|
||
v-mode="formData.remark"
|
||
type="ltextarea"
|
||
:rows="2"
|
||
placeholder="请输入病史补充"
|
||
/>
|
||
</el-form-item>
|
||
</el-form>
|
||
</el-tab-pane>
|
||
|
||
<!-- 血糖血压记录标签页 -->
|
||
<el-tab-pane label="血糖血压记录" name="blood" :disabled="!formData.id">
|
||
<blood-record-list
|
||
v-if="formData.id"
|
||
:diagnosis-id="Number(formData.id)"
|
||
:patient-id="Number(formData.patient_id)"
|
||
/>
|
||
<el-empty v-else description="请先保存诊单后再添加血糖血压记录" />
|
||
</el-tab-pane>
|
||
<!-- 病历记录标签页（开方后自动显示） -->
|
||
<el-tab-pane label="处方" name="bingli" :disabled="!formData.id" v-if="hasPermission(['tcm.diagnosis/chufang'])">
|
||
<div v-if="formData.id" class="bingli-tab-content">
|
||
<!-- 诊断信息：舌苔照片、检查报告 -->
|
||
<div class="bingli-diagnosis-section">
|
||
<el-divider content-position="left">诊断信息</el-divider>
|
||
<el-row :gutter="24">
|
||
<el-col :span="12">
|
||
<div class="bingli-label">舌苔照片</div>
|
||
<div v-if="formData.tongue_images?.length" class="bingli-images">
|
||
<el-image
|
||
v-for="(img, idx) in formData.tongue_images"
|
||
:key="idx"
|
||
:src="getImageUrl(img)"
|
||
:preview-src-list="(formData.tongue_images || []).map((u: string) => getImageUrl(u))"
|
||
class="bingli-img"
|
||
fit="cover"
|
||
/>
|
||
</div>
|
||
<span v-else class="bingli-empty">暂无</span>
|
||
</el-col>
|
||
<el-col :span="12">
|
||
<div class="bingli-label">检查报告</div>
|
||
<div v-if="formData.report_files?.length" class="bingli-images">
|
||
<el-image
|
||
v-for="(file, idx) in formData.report_files"
|
||
:key="idx"
|
||
:src="getImageUrl(file)"
|
||
:preview-src-list="(formData.report_files || []).map((u: string) => getImageUrl(u))"
|
||
class="bingli-img"
|
||
fit="cover"
|
||
/>
|
||
</div>
|
||
<span v-else class="bingli-empty">暂无</span>
|
||
</el-col>
|
||
</el-row>
|
||
</div>
|
||
<!-- 病历记录列表 -->
|
||
<case-record-list
|
||
ref="caseRecordListRef"
|
||
:diagnosis-id="Number(formData.id)"
|
||
@view="handleViewCase"
|
||
@openPrescription="handleOpenPrescription"
|
||
/>
|
||
</div>
|
||
<el-empty v-else description="请先保存诊单，开方后病历将在此显示" />
|
||
</el-tab-pane>
|
||
|
||
<el-tab-pane
|
||
v-if="hasPermission(['tcm.diagnosis/huifang'])"
|
||
label="视频录制回放记录"
|
||
name="visit"
|
||
:disabled="!formData.id"
|
||
lazy
|
||
>
|
||
<call-record-panel
|
||
v-if="formData.id"
|
||
ref="callRecordPanelRef"
|
||
:diagnosis-id="Number(formData.id)"
|
||
/>
|
||
<el-empty v-else description="请先保存诊单后再查看视频录制回放记录" />
|
||
</el-tab-pane>
|
||
<el-tab-pane
|
||
v-if="hasPermission(['tcm.diagnosis/chat'])"
|
||
label="聊天记录"
|
||
name="chat"
|
||
:disabled="!formData.id"
|
||
lazy
|
||
>
|
||
<im-chat-record-panel
|
||
v-if="formData.id"
|
||
:diagnosis-id="Number(formData.id)"
|
||
/>
|
||
<el-empty v-else description="请先保存诊单后再查看聊天记录" />
|
||
</el-tab-pane>
|
||
<el-tab-pane
|
||
v-if="
|
||
hasPermission(['tcm.diagnosis/assign']) ||
|
||
hasPermission(['tcm.diagnosis/detail'])
|
||
"
|
||
label="指派医助记录"
|
||
name="assignLog"
|
||
:disabled="!formData.id"
|
||
lazy
|
||
>
|
||
<assign-log-panel
|
||
v-if="formData.id"
|
||
:diagnosis-id="Number(formData.id)"
|
||
/>
|
||
<el-empty v-else description="请先保存诊单后再查看指派记录" />
|
||
</el-tab-pane>
|
||
<el-tab-pane
|
||
v-if="hasPermission(['doctor.appointment/lists'])"
|
||
label="挂号记录"
|
||
name="appointmentRecords"
|
||
:disabled="!formData.id"
|
||
lazy
|
||
>
|
||
<appointment-record-panel
|
||
v-if="formData.id"
|
||
:diagnosis-id="Number(formData.id)"
|
||
/>
|
||
<el-empty v-else description="请先保存诊单后再查看挂号记录" />
|
||
</el-tab-pane>
|
||
</el-tabs>
|
||
|
||
<!-- 处方详情（查看病历） -->
|
||
<tcm-prescription ref="prescriptionRef" @success="caseRecordListRef?.refresh?.()" />
|
||
|
||
<template #footer>
|
||
<div class="flex justify-end gap-3 px-4 pb-4">
|
||
<el-button @click="handleClose">取消</el-button>
|
||
<el-button
|
||
v-if="activeTab === 'basic'"
|
||
type="primary"
|
||
@click="handleSubmit"
|
||
:loading="submitting"
|
||
>
|
||
确定
|
||
</el-button>
|
||
</div>
|
||
</template>
|
||
</el-drawer>
|
||
|
||
</div>
|
||
</template>
|
||
|
||
<script setup lang="ts">
|
||
import { tcmDiagnosisAdd, tcmDiagnosisEdit, tcmDiagnosisDetail, checkPhone, checkIdCard } from '@/api/tcm'
|
||
import { getDictData } from '@/api/app'
|
||
import feedback from '@/utils/feedback'
|
||
import { hasPermission } from '@/utils/perm'
|
||
import useUserStore from '@/stores/modules/user'
|
||
import useAppStore from '@/stores/modules/app'
|
||
import { ElMessage } from 'element-plus'
|
||
import { QuestionFilled } from '@element-plus/icons-vue'
|
||
import BloodRecordList from './components/BloodRecordList.vue'
|
||
import CaseRecordList from './components/CaseRecordList.vue'
|
||
import CallRecordPanel from './components/CallRecordPanel.vue'
|
||
import ImChatRecordPanel from './components/ImChatRecordPanel.vue'
|
||
import AssignLogPanel from './components/AssignLogPanel.vue'
|
||
import AppointmentRecordPanel from './components/AppointmentRecordPanel.vue'
|
||
import TcmPrescription from '@/components/tcm-prescription/index.vue'
|
||
import {
|
||
DIAGNOSIS_TONGUE_IMAGES_UPDATED,
|
||
type DiagnosisTongueImagesUpdatedDetail
|
||
} from '@/utils/diagnosis-sync-events'
|
||
|
||
const emit = defineEmits(['success'])
|
||
const appStore = useAppStore()
|
||
const getImageUrl = (url: string) => (url?.indexOf?.('http') === 0 ? url : appStore.getImageUrl(url || ''))
|
||
const caseRecordListRef = ref()
|
||
const callRecordPanelRef = ref<{ refresh?: () => void } | null>(null)
|
||
const prescriptionRef = ref()
|
||
|
||
const visible = ref(false)
|
||
const formRef = ref()
|
||
const mode = ref('add')
|
||
const submitting = ref(false)
|
||
const activeTab = ref('basic')
|
||
const drawerTitle = computed(() => (mode.value === 'add' ? '新增诊单' : '编辑诊单'))
|
||
|
||
watch([visible, activeTab], () => {
|
||
if (!visible.value) return
|
||
if (activeTab.value === 'chat' && !hasPermission(['tcm.diagnosis/chat'])) {
|
||
activeTab.value = 'basic'
|
||
}
|
||
if (activeTab.value === 'visit' && !hasPermission(['tcm.diagnosis/huifang'])) {
|
||
activeTab.value = 'basic'
|
||
}
|
||
if (
|
||
activeTab.value === 'assignLog' &&
|
||
!hasPermission(['tcm.diagnosis/assign']) &&
|
||
!hasPermission(['tcm.diagnosis/detail'])
|
||
) {
|
||
activeTab.value = 'basic'
|
||
}
|
||
if (activeTab.value === 'appointmentRecords' && !hasPermission(['doctor.appointment/lists'])) {
|
||
activeTab.value = 'basic'
|
||
}
|
||
})
|
||
|
||
function onTongueImagesSyncedFromCall(e: Event) {
|
||
if (!visible.value) return
|
||
const d = (e as CustomEvent<DiagnosisTongueImagesUpdatedDetail>).detail
|
||
if (!d?.diagnosisId || !Array.isArray(d.tongue_images)) return
|
||
if (Number(formData.value.id) !== Number(d.diagnosisId)) return
|
||
formData.value.tongue_images = [...d.tongue_images]
|
||
}
|
||
|
||
onMounted(() => {
|
||
window.addEventListener(DIAGNOSIS_TONGUE_IMAGES_UPDATED, onTongueImagesSyncedFromCall as EventListener)
|
||
})
|
||
|
||
onUnmounted(() => {
|
||
window.removeEventListener(DIAGNOSIS_TONGUE_IMAGES_UPDATED, onTongueImagesSyncedFromCall as EventListener)
|
||
})
|
||
|
||
const formData = ref({
|
||
id: '',
|
||
patient_id: '',
|
||
patient_name: '',
|
||
id_card: '',
|
||
phone: '',
|
||
gender: 1,
|
||
age: undefined as number | undefined,
|
||
diagnosis_date: '',
|
||
diagnosis_type: '',
|
||
syndrome_type: '',
|
||
diabetes_type: '',
|
||
diabetes_discovery_year: '',
|
||
local_hospital_diagnosis: [],
|
||
local_hospital_name: '',
|
||
marital_status: undefined as number | undefined,
|
||
height: undefined as number | undefined,
|
||
weight: undefined as number | undefined,
|
||
region: '',
|
||
systolic_pressure: undefined as number | undefined,
|
||
diastolic_pressure: undefined as number | undefined,
|
||
fasting_blood_sugar: '',
|
||
appetite: [] as string[],
|
||
water_intake: '',
|
||
diet_condition: [],
|
||
weight_change: '',
|
||
body_feeling: [],
|
||
sleep_condition: [],
|
||
eye_condition: [],
|
||
head_feeling: [],
|
||
sweat_condition: [],
|
||
skin_condition: [],
|
||
urine_condition: [],
|
||
stool_condition: [],
|
||
kidney_condition: [],
|
||
fatty_liver_degree: '',
|
||
past_history: [],
|
||
trauma_history: 0,
|
||
surgery_history: 0,
|
||
allergy_history: 0,
|
||
family_history: 0,
|
||
pregnancy_history: 0,
|
||
assistant_id: undefined as number | undefined,
|
||
tongue_images: [] as string[],
|
||
report_files: [],
|
||
symptoms: '',
|
||
tongue_coating: '',
|
||
pulse: '',
|
||
treatment_principle: '',
|
||
prescription: '',
|
||
doctor_advice: '',
|
||
remark: '',
|
||
current_medications: '',
|
||
status: 1,
|
||
external_userid: ''
|
||
})
|
||
|
||
// 保存原始完整数据
|
||
const originalPhone = ref('')
|
||
const originalIdCard = ref('')
|
||
const isPhoneFocused = ref(false)
|
||
const isIdCardFocused = ref(false)
|
||
|
||
// 脱敏函数
|
||
const maskPhone = (phone: string) => {
|
||
if (!phone || phone.length < 11) return phone
|
||
return phone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2')
|
||
}
|
||
|
||
const maskIdCard = (idCard: string) => {
|
||
if (!idCard) return idCard
|
||
if (idCard.length === 15) {
|
||
return idCard.replace(/(\d{6})\d{5}(\d{4})/, '$1*****$2')
|
||
} else if (idCard.length === 18) {
|
||
return idCard.replace(/(\d{6})\d{8}(\d{4})/, '$1********$2')
|
||
}
|
||
return idCard
|
||
}
|
||
|
||
// 手机号聚焦 - 显示完整数据
|
||
const handlePhoneFocus = () => {
|
||
isPhoneFocused.value = true
|
||
if (originalPhone.value) {
|
||
formData.value.phone = originalPhone.value
|
||
}
|
||
}
|
||
|
||
// 手机号失焦 - 恢复脱敏并验证
|
||
const handlePhoneBlur = async () => {
|
||
isPhoneFocused.value = false
|
||
|
||
// 保存原始数据并脱敏显示
|
||
if (formData.value.phone && formData.value.phone.length === 11) {
|
||
originalPhone.value = formData.value.phone
|
||
|
||
// 验证手机号唯一性
|
||
if (/^1[3-9]\d{9}$/.test(formData.value.phone)) {
|
||
try {
|
||
const result = await checkPhone({
|
||
phone: formData.value.phone,
|
||
id: formData.value.id || ''
|
||
})
|
||
|
||
if (result.exists) {
|
||
ElMessage.warning(result.message)
|
||
}
|
||
} catch (error) {
|
||
console.error('检查手机号失败:', error)
|
||
}
|
||
}
|
||
|
||
// 脱敏显示
|
||
formData.value.phone = maskPhone(formData.value.phone)
|
||
}
|
||
}
|
||
|
||
// 身份证聚焦 - 显示完整数据
|
||
const handleIdCardFocus = () => {
|
||
isIdCardFocused.value = true
|
||
if (originalIdCard.value) {
|
||
formData.value.id_card = originalIdCard.value
|
||
}
|
||
}
|
||
|
||
// 身份证失焦 - 恢复脱敏并验证
|
||
const handleIdCardBlur = async () => {
|
||
isIdCardFocused.value = false
|
||
|
||
// 保存原始数据并脱敏显示
|
||
if (formData.value.id_card && (formData.value.id_card.length === 15 || formData.value.id_card.length === 18)) {
|
||
originalIdCard.value = formData.value.id_card
|
||
|
||
// 验证身份证格式并计算年龄
|
||
if (/^[1-9]\d{5}(18|19|20)\d{2}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])\d{3}[\dXx]$/.test(formData.value.id_card)) {
|
||
// 从身份证提取出生日期计算年龄
|
||
const id = formData.value.id_card
|
||
const birthYear = parseInt(id.substring(6, 10))
|
||
const birthMonth = parseInt(id.substring(10, 12))
|
||
const birthDay = parseInt(id.substring(12, 14))
|
||
const today = new Date()
|
||
let age = today.getFullYear() - birthYear
|
||
if (today.getMonth() + 1 < birthMonth || (today.getMonth() + 1 === birthMonth && today.getDate() < birthDay)) {
|
||
age--
|
||
}
|
||
formData.value.age = age
|
||
|
||
// 验证身份证唯一性
|
||
try {
|
||
const result = await checkIdCard({
|
||
id_card: formData.value.id_card,
|
||
id: formData.value.id || ''
|
||
})
|
||
|
||
if (result.exists) {
|
||
ElMessage.warning(result.message)
|
||
}
|
||
} catch (error) {
|
||
console.error('检查身份证号失败:', error)
|
||
}
|
||
}
|
||
|
||
// 脱敏显示
|
||
formData.value.id_card = maskIdCard(formData.value.id_card)
|
||
}
|
||
}
|
||
|
||
// 自定义验证规则
|
||
const validatePhone = (rule: any, value: any, callback: any) => {
|
||
// 使用原始数据进行验证
|
||
const phoneToValidate = originalPhone.value || value
|
||
if (!phoneToValidate) {
|
||
callback(new Error('请输入手机号'))
|
||
return
|
||
}
|
||
if (!/^1[3-9]\d{9}$/.test(phoneToValidate)) {
|
||
callback(new Error('手机号格式不正确'))
|
||
return
|
||
}
|
||
callback()
|
||
}
|
||
|
||
const validateIdCard = (rule: any, value: any, callback: any) => {
|
||
// 使用原始数据进行验证
|
||
const idCardToValidate = originalIdCard.value || value
|
||
if (idCardToValidate && !/^[1-9]\d{5}(18|19|20)\d{2}(0[1-9]|1[0-2])(0[1-9]|[12]\d|3[01])\d{3}[\dXx]$/.test(idCardToValidate)) {
|
||
callback(new Error('身份证号格式不正确'))
|
||
return
|
||
}
|
||
callback()
|
||
}
|
||
|
||
const formRules = {
|
||
patient_name: [{ required: true, message: '请输入患者姓名', trigger: 'blur' }],
|
||
id_card: [{ validator: validateIdCard, trigger: 'blur' }],
|
||
phone: [{ required: true, validator: validatePhone, trigger: 'blur' }],
|
||
gender: [{ required: true, message: '请选择性别', trigger: 'change' }],
|
||
age: [{ required: true, message: '请输入年龄', trigger: 'blur' }],
|
||
fasting_blood_sugar: [{ required: true, message: '请输入空腹血糖', trigger: 'blur' }],
|
||
diagnosis_type: [{ required: true, message: '请选择诊断类型', trigger: 'change' }],
|
||
diabetes_discovery_year: [{ max: 50, message: '最多50个字符', trigger: 'blur' }],
|
||
}
|
||
|
||
// 获取字典选项
|
||
const diagnosisTypeOptions = ref<any[]>([])
|
||
const syndromeTypeOptions = ref<any[]>([])
|
||
const diabetesTypeOptions = ref<any[]>([])
|
||
const pastHistoryOptions = ref<any[]>([])
|
||
// 现病史字典选项
|
||
const appetiteOptions = ref<any[]>([])
|
||
const waterIntakeOptions = ref<any[]>([])
|
||
const dietConditionOptions = ref<any[]>([])
|
||
const weightChangeOptions = ref<any[]>([])
|
||
const bodyFeelingOptions = ref<any[]>([])
|
||
const sleepConditionOptions = ref<any[]>([])
|
||
const eyeConditionOptions = ref<any[]>([])
|
||
const headFeelingOptions = ref<any[]>([])
|
||
const sweatConditionOptions = ref<any[]>([])
|
||
const skinConditionOptions = ref<any[]>([])
|
||
const urineConditionOptions = ref<any[]>([])
|
||
const stoolConditionOptions = ref<any[]>([])
|
||
const kidneyConditionOptions = ref<any[]>([])
|
||
const fattyLiverDegreeOptions = ref<any[]>([])
|
||
|
||
const getDictOptions = async () => {
|
||
try {
|
||
const [
|
||
diagnosisType,
|
||
syndromeType,
|
||
diabetesType,
|
||
pastHistory,
|
||
appetite,
|
||
waterIntake,
|
||
dietCondition,
|
||
weightChange,
|
||
bodyFeeling,
|
||
sleepCondition,
|
||
eyeCondition,
|
||
headFeeling,
|
||
sweatCondition,
|
||
skinCondition,
|
||
urineCondition,
|
||
stoolCondition,
|
||
kidneyCondition,
|
||
fattyLiverDegree
|
||
] = await Promise.all([
|
||
getDictData({ type: 'diagnosis_type' }),
|
||
getDictData({ type: 'syndrome_type' }),
|
||
getDictData({ type: 'diabetes_type' }),
|
||
getDictData({ type: 'past_history' }),
|
||
getDictData({ type: 'appetite' }),
|
||
getDictData({ type: 'water_intake' }),
|
||
getDictData({ type: 'diet_condition' }),
|
||
getDictData({ type: 'weight_change' }),
|
||
getDictData({ type: 'body_feeling' }),
|
||
getDictData({ type: 'sleep_condition' }),
|
||
getDictData({ type: 'eye_condition' }),
|
||
getDictData({ type: 'head_feeling' }),
|
||
getDictData({ type: 'sweat_condition' }),
|
||
getDictData({ type: 'skin_condition' }),
|
||
getDictData({ type: 'urine_condition' }),
|
||
getDictData({ type: 'stool_condition' }),
|
||
getDictData({ type: 'kidney_condition' }),
|
||
getDictData({ type: 'fatty_liver_degree' })
|
||
])
|
||
|
||
diagnosisTypeOptions.value = diagnosisType?.diagnosis_type || []
|
||
syndromeTypeOptions.value = syndromeType?.syndrome_type || []
|
||
diabetesTypeOptions.value = diabetesType?.diabetes_type || []
|
||
pastHistoryOptions.value = pastHistory?.past_history || []
|
||
appetiteOptions.value = appetite?.appetite || []
|
||
waterIntakeOptions.value = waterIntake?.water_intake || []
|
||
dietConditionOptions.value = dietCondition?.diet_condition || []
|
||
weightChangeOptions.value = weightChange?.weight_change || []
|
||
bodyFeelingOptions.value = bodyFeeling?.body_feeling || []
|
||
sleepConditionOptions.value = sleepCondition?.sleep_condition || []
|
||
eyeConditionOptions.value = eyeCondition?.eye_condition || []
|
||
headFeelingOptions.value = headFeeling?.head_feeling || []
|
||
sweatConditionOptions.value = sweatCondition?.sweat_condition || []
|
||
skinConditionOptions.value = skinCondition?.skin_condition || []
|
||
urineConditionOptions.value = urineCondition?.urine_condition || []
|
||
stoolConditionOptions.value = stoolCondition?.stool_condition || []
|
||
kidneyConditionOptions.value = kidneyCondition?.kidney_condition || []
|
||
fattyLiverDegreeOptions.value = fattyLiverDegree?.fatty_liver_degree || []
|
||
} catch (error) {
|
||
console.error('获取字典数据失败:', error)
|
||
}
|
||
}
|
||
|
||
const open = async (type: string, id?: number) => {
|
||
mode.value = type
|
||
visible.value = true
|
||
activeTab.value = 'basic' // 重置到基本信息标签页
|
||
|
||
// 加载字典数据
|
||
await getDictOptions()
|
||
|
||
if (type === 'edit' && id) {
|
||
const data = await tcmDiagnosisDetail({ id })
|
||
|
||
// 保存原始完整数据
|
||
originalPhone.value = data.phone || ''
|
||
originalIdCard.value = data.id_card || ''
|
||
|
||
// 显示脱敏数据
|
||
data.phone = maskPhone(data.phone || '')
|
||
data.id_card = maskIdCard(data.id_card || '')
|
||
|
||
formData.value = data
|
||
const y = data.diabetes_discovery_year
|
||
formData.value.diabetes_discovery_year =
|
||
y == null || y === '' ? '' : String(y)
|
||
} else if (type === 'add') {
|
||
const userStore = useUserStore()
|
||
formData.value.assistant_id = userStore.userInfo?.id || ''
|
||
}
|
||
}
|
||
|
||
const handleSubmit = async () => {
|
||
await formRef.value?.validate()
|
||
|
||
submitting.value = true
|
||
try {
|
||
// 准备提交数据，使用原始完整数据
|
||
const submitData = {
|
||
...formData.value,
|
||
phone: originalPhone.value || formData.value.phone,
|
||
id_card: originalIdCard.value || formData.value.id_card
|
||
}
|
||
|
||
if (mode.value === 'add') {
|
||
const result = await tcmDiagnosisAdd(submitData)
|
||
|
||
// 如果是新增，保存成功后切换到编辑模式，这样可以添加血糖血压记录
|
||
if (result && result.id) {
|
||
mode.value = 'edit'
|
||
formData.value.id = result.id
|
||
|
||
// 重新获取详情，确保patient_id等字段正确
|
||
try {
|
||
const detail = await tcmDiagnosisDetail({ id: result.id })
|
||
formData.value.patient_id = detail.patient_id
|
||
|
||
// 更新原始数据
|
||
originalPhone.value = detail.phone || ''
|
||
originalIdCard.value = detail.id_card || ''
|
||
|
||
// 显示脱敏数据
|
||
formData.value.phone = maskPhone(detail.phone || '')
|
||
formData.value.id_card = maskIdCard(detail.id_card || '')
|
||
} catch (error) {
|
||
console.error('获取详情失败:', error)
|
||
}
|
||
}
|
||
} else {
|
||
await tcmDiagnosisEdit(submitData)
|
||
}
|
||
|
||
emit('success')
|
||
} catch (error) {
|
||
console.error('提交失败:', error)
|
||
} finally {
|
||
submitting.value = false
|
||
}
|
||
}
|
||
|
||
const handleViewCase = (row: any) => {
|
||
prescriptionRef.value?.openById(row.id)
|
||
}
|
||
|
||
// 开方：传入当前诊单数据，包含详细病历（深拷贝避免响应式引用）
|
||
const handleOpenPrescription = () => {
|
||
const data = {
|
||
id: formData.value.id,
|
||
diagnosis_id: formData.value.id,
|
||
appointment_id: 0,
|
||
patient_name: formData.value.patient_name,
|
||
patient_phone: formData.value.phone,
|
||
patient_gender: formData.value.gender,
|
||
patient_age: formData.value.age,
|
||
case_record: JSON.parse(JSON.stringify(formData.value))
|
||
}
|
||
prescriptionRef.value?.open(data)
|
||
}
|
||
|
||
const handleClose = () => {
|
||
formRef.value?.resetFields()
|
||
formData.value = {
|
||
id: '',
|
||
patient_id: '',
|
||
patient_name: '',
|
||
id_card: '',
|
||
phone: '',
|
||
gender: 1,
|
||
age: undefined as number | undefined,
|
||
diagnosis_date: '',
|
||
diagnosis_type: '',
|
||
syndrome_type: '',
|
||
diabetes_type: '',
|
||
diabetes_discovery_year: '',
|
||
local_hospital_diagnosis: [],
|
||
local_hospital_name: '',
|
||
marital_status: undefined as number | undefined,
|
||
height: undefined as number | undefined,
|
||
weight: undefined as number | undefined,
|
||
region: '',
|
||
systolic_pressure: undefined as number | undefined,
|
||
diastolic_pressure: undefined as number | undefined,
|
||
fasting_blood_sugar: '',
|
||
appetite: [] as string[],
|
||
water_intake: '',
|
||
diet_condition: [],
|
||
weight_change: '',
|
||
body_feeling: [],
|
||
sleep_condition: [],
|
||
eye_condition: [],
|
||
head_feeling: [],
|
||
sweat_condition: [],
|
||
skin_condition: [],
|
||
urine_condition: [],
|
||
stool_condition: [],
|
||
kidney_condition: [],
|
||
fatty_liver_degree: '',
|
||
past_history: [],
|
||
trauma_history: 0,
|
||
surgery_history: 0,
|
||
allergy_history: 0,
|
||
family_history: 0,
|
||
pregnancy_history: 0,
|
||
assistant_id: undefined as number | undefined,
|
||
tongue_images: [] as string[],
|
||
report_files: [],
|
||
symptoms: '',
|
||
tongue_coating: '',
|
||
pulse: '',
|
||
treatment_principle: '',
|
||
prescription: '',
|
||
doctor_advice: '',
|
||
remark: '',
|
||
current_medications: '',
|
||
status: 1,
|
||
external_userid: ''
|
||
}
|
||
|
||
// 重置原始数据
|
||
originalPhone.value = ''
|
||
originalIdCard.value = ''
|
||
isPhoneFocused.value = false
|
||
isIdCardFocused.value = false
|
||
|
||
visible.value = false
|
||
}
|
||
|
||
defineExpose({
|
||
open,
|
||
refreshCaseList: () => caseRecordListRef.value?.refresh?.()
|
||
})
|
||
</script>
|
||
|
||
<style lang="scss" scoped>
|
||
.edit-drawer {
|
||
font-size: 12px;
|
||
|
||
:deep(.el-form) {
|
||
padding-bottom: 20px;
|
||
font-size: 12px;
|
||
}
|
||
|
||
:deep(.el-divider) {
|
||
margin: 24px 0 20px;
|
||
|
||
.el-divider__text {
|
||
font-size: 13px;
|
||
font-weight: 600;
|
||
color: #303133;
|
||
background: #f5f7fa;
|
||
padding: 0 16px;
|
||
}
|
||
}
|
||
|
||
:deep(.el-form-item) {
|
||
margin-bottom: 18px;
|
||
}
|
||
|
||
:deep(.el-form-item__label) {
|
||
font-size: 12px;
|
||
font-weight: 500;
|
||
color: #606266;
|
||
}
|
||
|
||
:deep(.el-input__inner) {
|
||
font-size: 12px;
|
||
}
|
||
|
||
:deep(.el-textarea__inner) {
|
||
font-size: 12px;
|
||
}
|
||
|
||
:deep(.el-radio-button__inner) {
|
||
font-size: 12px;
|
||
}
|
||
|
||
:deep(.el-checkbox-button__inner) {
|
||
font-size: 12px;
|
||
}
|
||
|
||
:deep(.el-button) {
|
||
font-size: 12px;
|
||
}
|
||
|
||
// 紧凑型表单项（单选框）
|
||
.compact-form-item {
|
||
:deep(.el-radio-group) {
|
||
display: flex;
|
||
flex-wrap: wrap;
|
||
gap: 12px;
|
||
|
||
.el-radio {
|
||
margin-right: 0;
|
||
margin-bottom: 0;
|
||
}
|
||
}
|
||
}
|
||
|
||
// 复选框表单项
|
||
.checkbox-form-item {
|
||
:deep(.el-checkbox-group) {
|
||
display: flex;
|
||
flex-wrap: wrap;
|
||
gap: 12px 16px;
|
||
|
||
.el-checkbox {
|
||
margin-right: 0;
|
||
margin-bottom: 0;
|
||
}
|
||
}
|
||
}
|
||
|
||
// 通用单选框样式
|
||
:deep(.el-radio-group) {
|
||
.el-radio {
|
||
margin-right: 16px;
|
||
margin-bottom: 8px;
|
||
|
||
&:last-child {
|
||
margin-right: 0;
|
||
}
|
||
}
|
||
}
|
||
|
||
// 通用复选框样式
|
||
:deep(.el-checkbox-group) {
|
||
.el-checkbox {
|
||
margin-right: 16px;
|
||
margin-bottom: 8px;
|
||
}
|
||
}
|
||
|
||
.form-tips {
|
||
font-size: 12px;
|
||
color: #909399;
|
||
margin-top: 4px;
|
||
line-height: 1.5;
|
||
}
|
||
|
||
/* 病历 tab 诊断信息 */
|
||
.bingli-tab-content {
|
||
padding: 0 4px;
|
||
}
|
||
.bingli-diagnosis-section {
|
||
margin-bottom: 24px;
|
||
padding: 16px;
|
||
background: #f5f7fa;
|
||
border-radius: 6px;
|
||
}
|
||
.bingli-label {
|
||
font-size: 13px;
|
||
font-weight: 500;
|
||
color: #606266;
|
||
margin-bottom: 10px;
|
||
}
|
||
.bingli-images {
|
||
display: flex;
|
||
flex-wrap: wrap;
|
||
gap: 10px;
|
||
}
|
||
.bingli-img {
|
||
width: 80px;
|
||
height: 80px;
|
||
border-radius: 4px;
|
||
cursor: pointer;
|
||
}
|
||
.bingli-empty {
|
||
font-size: 13px;
|
||
color: #909399;
|
||
}
|
||
|
||
// 输入框样式优化
|
||
:deep(.el-input__inner),
|
||
:deep(.el-textarea__inner) {
|
||
border-radius: 4px;
|
||
}
|
||
|
||
// 选择器样式优化
|
||
:deep(.el-select) {
|
||
.el-input__inner {
|
||
border-radius: 4px;
|
||
}
|
||
}
|
||
|
||
// 日期选择器样式优化
|
||
:deep(.el-date-editor) {
|
||
.el-input__inner {
|
||
border-radius: 4px;
|
||
}
|
||
}
|
||
}
|
||
</style>
|
||
|
||
<style lang="scss" scoped>
|
||
/* 全局样式，用于提高弹出层的z-index */
|
||
.high-z-index {
|
||
z-index: 3000 !important;
|
||
}
|
||
|
||
/* 降低抽屉及其遮罩层的z-index */
|
||
.el-drawer {
|
||
z-index: 1500 !important;
|
||
}
|
||
|
||
.el-overlay {
|
||
z-index: 1499 ;
|
||
}
|
||
|
||
/* 确保日期选择器和下拉选择器的弹出层在最上层 */
|
||
.el-picker__popper,
|
||
.el-select__popper,
|
||
.el-popper {
|
||
z-index: 3000 !important;
|
||
}
|
||
|
||
/* 确保Element Plus的弹出层容器在最上层 */
|
||
.el-picker-panel,
|
||
.el-select-dropdown {
|
||
z-index: 3000 !important;
|
||
}
|
||
|
||
</style>
|